Step 1 of 2: Name and lab information
First name: *
Last name: *
Birthdate (yyyy-mm-dd):
Type of user:
Company / University: *
Department: *
Laboratory / Group: *
Project name: *
Practical coach:
Supervisor: *
Access card number:
Start date (yyyy-mm-dd):
End date (yyyy-mm-dd):
Chalmers user - please provide the following information (copy into field and separate new lines by pressing the Enter key twice at each “|”). | Tool/instrument(s) of interest (name and ID number): Instrument1 (XXX), Instrument2 (XXX) | Project name and 8-digit IKB number(s): example1 - 12345678, example2 – 12345679 | End-date of research project(s): 20XX-XX-XX, 20XX-XX-XX | Cost center (6 digits): 123456 | External user - please instead provide relevant invoicing information to cover potential instrument usage fees.: *
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